| Dr Emily Fae Malecky, LCSW | |
| 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
| (573) 596-0417 | |
| Not Available | 
| Full Name | Dr Emily Fae Malecky | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417648114 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2023017078 (Missouri) | Primary | 
| Entity Name | Psychological & Behavioral Consultants Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20181204002777 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Emily Fae Malecky, LCSW 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 | Dr Emily Fae Malecky, LCSW 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 | 
| Erica L Asbell, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 | |
| Barbara Ann Welch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
| Stephen Lindsey Dunaway, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 | |
| Mr. Bruce Franklin Burgo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1507 | |
| Mr. Randall Allen Whitaker, MSW, LCSW, CASAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
| Keonyoung Lim, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0131 | |
| Deborah A Yamnitz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 |